Transcript Highlights:

• As far as the pharmacies and pharmaceuticals, I was approached by representatives of the pharmacy industry
• , and after we... ...of the pharmacy industry, and after we had initiated our changes from our committee
• in Energy and Natural Resources, because the question came up then, what about pharmacies?
• Senator Lee: I had visited at least twice with members of the Board of Pharmacy, and they... ...with
• members of the Board of Pharmacy, and they think there's a whole lot that's not known about this.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• They provide vocational training components: certified clinical medical assistant, certified pharmacy
• instruction, career and technical education, including certified nursing assistant, medical assistant, pharmacy
• instruction, career and technical education, including certified nursing assistance, medical aid, pharmacy
• tech, Certified nursing assistants, medical aide, pharmacy tech, heavy equipment, and other programs
• program and career technical education programs, including certified nursing assistant, medical aide, pharmacy

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• She was told she would have to go to a pharmacy or she would have to wait for a prescription, but by
• contraception or either prescribe it to them. contraceptive medication or recommend that they go to the pharmacy
• One, I mean, I can't speak to pharmacy or hospital pharmacy.
• needs to be available in that same medical facility so that the survivor doesn't have to go to a pharmacy

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Transcript Highlights:

• Is it something that the pharmacy board has to authorize to happen?
• Chair, Representative Vincent, so a pharmacy can dispense it, and then the individual can do it in their
• I'm the Director of Pharmacy for Medicaid. What Allegra said is largely correct.
• And the injection has to be administered either in a doctor's office or a pharmacy; it can be done at

Transcript Highlights:

• Let's go to Tab. 12 SB 294 on collaborative pharmacy practice or chronic health care conditions or health
• disease, type 2 diabetes, HIV obesity, pulmonary disease, type 2 diabetes, HIV obesity, the Board of Pharmacy
• And there has been before the Board of Pharmacy.
• This bill would preclude the board of Pharmacy from adding these very complex itch conditions to the

Keywords: 999, senate, all

Transcript Highlights:

• , especially compounding pharmacies.
• But to the degree that we have compounding pharmacies, obviously they have to be under the purview of
• So that's something that we all need to be aware of with regard to compounding pharmacies.
• But also generally, so maybe you want to comment on that. regard to pharmacies especially regard to pharmacies
• especially compounding<01:39:29.000> pharmacies<01:39:29.719> I<01:39:29.800> don't

Keywords: 928, house, all

Summary: The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels. A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity. The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.

Transcript Highlights:

• We at the DOC do not offer a compounding pharmacy per se for those biologics.
• We supply all our medications direct from our in-house pharmacy.
• equivalent and AB-rated in pharmacy.
• <02:13:39.840> So AB- rated uh in in pharmacy. So AB- rated uh in in pharmacy.
• rated generic uh in in uh in pharmacy rated generic uh in in uh in pharmacy would<02:13:51.280><

Keywords: 928, house, all

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• , which is provided by Diamond Pharmacy.
• <00:45:11.680> which<00:45:11.920> is America uh and pharmacy which is America uh and
• pharmacy which is provided<00:45:12.400> by<00:45:12.640> Diamond<00:45:13.040> Pharmacy
• Uh and to provided by Diamond Pharmacy.
• And a separate contract to cover pharmacy. Okay.

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• Express Scripts, which is PEBP's pharmacy benefits manager.
• Express Scripts is both the pharmacy benefit manager and a pharmacy, and is part of the vertically integrated
• and a lot of the programming that we're choosing to fund right now are coming from a lot of these pharmacy
• were in the $50 million range, including the majority leader's bill, that were from some of these pharmacy
• Many pharmacies and hospitals purchase medicines through national or original buying groups or national

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• Health plans, insurers, and pharmacy benefit managers are increasingly imposing policies that prevent
• a history of severe allergic reactions to a variety of drug therapies being sent to an infusion pharmacy
• On average, a physician office charges about 23% more than specialty pharmacies for the same drug.
• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• Specialty pharmacies have a myriad of safety guidelines that they must meet, and they are developed to

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• House Bill 2161 relating to pharmacy. This bill establishes the Daniel K.
• Um, I'm Ray Matsoto, dean of the Daniel Kinoi College of Pharmacy.
• <01:23:01.679> We the Daniel Kinoi College of Pharmacy.
• We the Daniel Kinoi College of Pharmacy.
• for pharmacy students via this<02:02:30.159> fund.

Keywords: 910, house, all

Summary: The committees heard testimony on HB 1872, which would create an early learning apprenticeship grant program to help early childhood providers participate in approved apprenticeship programs, require annual reporting, and appropriate funds. Testifiers in support included the University of Hawaiʻi, the Executive Office on Early Learning, the City and County of Honolulu, Commit to Keiki, the Chamber of Commerce Hawaiʻi, the Commission on the Status of Women, Hawaiʻi Children’s Action Network Speaks, Parents for Public Schools of Hawaiʻi, and Kīʻoka Family Learning Centers. Supporters said the bill would reduce financial barriers, strengthen recruitment and retention, improve compensation and career pathways, and help address child care shortages and workforce instability. The committee then voted to pass HB 1872 with amendments, including an HD1 and a defective date to allow further discussion. The committee next took up HB 2489, which would appropriate funds for the University of Hawaiʻi to establish a bachelor’s degree program in American Sign Language interpretation, with a longer-term plan for a master’s program. Testimony in support came from the Disability Communication Access Board and the University of Hawaiʻi, and members also heard detailed support from DECAP and other advocates describing a statewide shortage of ASL interpreters, long waiting lists for ASL courses, and the need for locally trained interpreters who understand Hawaiʻi’s cultural and community needs. Witnesses said the shortage affects schools, courts, hospitals, emergency services, and other settings, and that the program could be expanded through articulation with other campuses. The committee voted to pass HB 2489 with amendments, again using an HD1 and defective date. After those two measures, the committee moved to HB 441 on campus safety, which would require students, including transfer students, to complete training on federal laws and university policies regarding sexual misconduct before initial registration and would change how often training is provided to students and employees. The University of Hawaiʻi stood on its written testimony, while supporters including IMUA Alliance and other testifiers urged passage, citing survivor experiences, national best practices, and the need for prevention before harm occurs. No vote on HB 441 was reached in the portion provided.

Transcript Highlights:

• For pharmacies, as with other businesses, if they are within 600 feet, they can continue to exist so
• Senate a bill that would have, that you all passed out of your house, that would have banned all pharmacies
• So the Assembly has already set forth their priority of what they think pharmacies should be selling
• Good morning, Sarah Polo-Moo with the California Retailers Association and the California Community Pharmacy
• Good morning, Sarah Polo-Moo with the California Retailers Association and the California Community Pharmacy

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• Enteral formula is a nutritional formula designed for people who cannot consume— The pharmacy.
• Trips to and from their pharmacy to receive their food can present risk, especially for people with these
• needs and for those living in remote rural areas, where a trip to the pharmacy can mean hours on the
• To ensure that patients can receive their formulas regardless of how far they live from the pharmacy,
• AB 1794 will allow pharmacies and medical product distributors to send formulas directly to the patient's

Summary: The Assembly met in session after a quorum call and opened with prayer, the Pledge of Allegiance, and a ceremonial observance for Asian American and Pacific Islander Heritage Month. Members from multiple caucuses spoke in support of House Resolution 107, which designates May as AAPI Heritage Month, emphasizing the community’s contributions, resilience, and the need to confront discrimination and hate. The resolution was adopted, and the chamber then recognized 13 honorees for the 2026 AAPI Heritage Month celebration, highlighting leaders in education, business, labor, media, cultural preservation, and public service. After guest introductions, the Assembly took up a series of bills. Measures discussed included HOA reserve funding for common interest developments (AB 2050), professional review requirements for lawsuits against design professionals (AB 2106), direct home delivery of enteral formula (AB 1794), expanded CalWORKs-related support for student parents (AB 1829), longer insurance moratoriums for wildfire survivors (AB 2038), election cybersecurity (AB 2281), medical privacy protections for reproductive and gender-affirming care (AB 2448), water district board compensation (AB 2568), county public contract change-order authority (AB 1658), and several other education, health, and licensing bills. Most measures passed with broad support; AB 2050 passed 44-6, AB 2038 passed 45-8, AB 2448 passed 49-13, and AB 1658 passed 61-2, while several others passed unanimously or near-unanimously. The Assembly also adopted AJR 29, a resolution opposing a federal executive order affecting vote-by-mail and affirming California’s mail voting system. The resolution prompted extended debate over election integrity, voter access, and federal versus state authority, with supporters arguing mail voting is secure and accessible and opponents calling for stronger voter list maintenance and verification. The resolution passed 47-13. In addition, ACR 141 and ACR 123 were adopted by voice vote after co-author roll calls, and the chamber continued or passed on numerous other file items as it worked through the daily file.

Transcript Highlights:

• Senators, in 2022, the legislature directed the Board of Pharmacy to establish guidelines for determining
• the circumstances under which a pharmacist may supervise more than one pharmacy technician.
• President, Senators, in 2022, the legislature directed the Board of Pharmacy to establish guidelines
• We may clear that a pharmacist may not supervise more than one pharmacy technician unless additional
• Adequate supervision of pharmacy technicians is essential.

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills. Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package. The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.

Transcript Highlights:

• costs, additional higher pharmacy expenditures related to the growth beyond those with unsatisfactory
• , and increases in pharmacy costs.
• I wanted to also note there were questions about pharmaceuticals and spending in the pharmacy space.
• Recent coverage expansions have increased the number of Medi-Cal eligibles who may access the pharmacy
• It mentioned several times kind of the additional, like, rising costs around pharmacy costs.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• The next one is the Board of Pharmacy.
• Now, the $118,067 would be to expand the pharmacy recovery program, and we passed a separate general
• c><00:40:54.720> to<00:40:54.960> expand<00:40:55.280> the<00:40:55.520> pharmacy
• <00:40:56.560> recovery would be to expand the pharmacy recovery would be to expand the pharmacy
• that would allow the board of pharmacy that would allow the board of pharmacy to<00:41:05.119>

Keywords: Appropriations - Room 216, 18 February, 2026; 11:00 AM, 925, all

Summary: The committee began with process instructions about using committee substitutes, identifying bills with reverse repealers, and taking up noncontroversial items in blocks. It then approved Senate Bill 3051, the DFA budget, which included LBR-level funding with a reverse repealer and agency-by-agency allocations for the status of women, DFA, tort claims, state property insurance, BEAM, and Mississippi Home Corporation. Senate Bill 3052, the governor’s support budget, was also approved as a final-action bill without a reverse repealer, with members noting the reduction from the prior year was tied to lower federal funding. The committee then handled the IHL budget bills. Senate Bill 3053, the general support bill, included a 3% across-the-board raise for IHL professors and $20 million for repair and renovation at universities, plus $5 million for UMMC; it passed as a committee substitute with a reverse repealer. Senate Bill 3054, the original IHL-related bill, passed without a committee substitute. Bills 3055 through 3059 were taken up in block and approved, providing 3% increases for A units at Alcorn State and Mississippi State. Senate Bill 3060, student financial aid, added about $7.7 million for scholarship costs, including MESG, MTAG, and Winters-Reed loan repayment, and passed as a committee substitute. The committee also approved the larger IHL budget bill with a reverse repealer and discussed, but did not fund, a UMMC cancer center request at that stage. Subcommittee 3 presented education-related bills. Senate Bill 3062 was approved at LBR with a reverse repealer and included a large transfer from the education enhancement fund. Senate Bill 3063 added $15 million for repair and renovation and $8.11 million for faculty pay raises, and passed as a committee substitute with a reverse repealer. On Senate Bill 3064, the Employment Security Commission budget, members discussed whether the committee substitute included a reverse repealer and noted they might revisit that on the floor if needed; the bill was advanced. Subcommittee 4 then took up Senate Bills 3065, 3066, 3068, and 3069 in block and approved them: Ethics Commission funding increased for salary realignment and a database; Judicial Performance Commission language was tightened to freeze the director’s salary and ensure youth court oversight funds were used solely for that purpose; Tax Appeals Board funding was increased to restore cuts and vacancy funding; and Workers’ Compensation Commission funding rose to cover commissioner salary increases and related language changes. Later, the committee approved Senate Bill 3067 for the Department of Public Safety, which included a reverse repealer, LBR-level funding, additional money for furniture for the new headquarters, and reappropriation language. Senate Bill 3071, the GCRF bill, was approved with a reverse repealer and reappropriation language for prior-year projects. Senate Bill 3072, the Department of Mental Health budget, was approved with a reverse repealer and included $12 million for the Canopy project, prior-year invoice funding, and language tied to mental health-related legislation. Finally, Senate Bills 3073 through 3075 were taken up in block for licensing boards, with increases for the Chiropractic Examiners, Dental Examiners, and Pharmacy boards, including funding for licensing system updates, vacancy funding, and expansion of the pharmacy recovery program.

Transcript Highlights:

• Sometimes folks can't get into the pharmacy quicker than they can get to a clinic or drive an hour to
• basic medical supplies like nebulizer masks, pin needles, and bandages, but only after the Board of Pharmacy
• If Missouri is hit by tornadoes, floods, or other emergencies, the Board of Pharmacy can temporarily
• waive certain rules so pharmacies can continue serving people during that disaster period.
• bill also includes language allowing ivermectin and hydroxychloroquine to be available behind the pharmacy

Keywords: 959, house, all

Transcript Highlights:

• Pharmacy services were transitioned in all facilities, shifting from blister packs to prepackaged pill
• to supplement the operating without coming in asking for more money, but it reduces the overall pharmacy
• I'm glad to hear that you're using the or taking advantage of the 340B, what is the pharmacy cost?
• We work with our pharmacy provider, independent of 340B, with Lindsay and go through all the documents
• So, it's really an internal process with our health services staff, as well as our pharmacy provider

Keywords: 914, all

Transcript Highlights:

• Participating pharmacies must submit an annual access-to-care plan to the Department and the Board of
• Pharmacy to ensure that patients have access to primary care services.
• The Board of Pharmacy is required to collaborate with the boards of medicine and osteopathic medicine
• I think the Board of Pharmacy worked very swiftly to make sure that the pathway and the structure was
• We would probably need to engage our pharmacy stakeholders and our partners to understand what barriers

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• Participating pharmacies must submit an annual access to care plan to the Department and the Board of
• Pharmacy to ensure that patients have access to primary care services.
• The Board of Pharmacy is required to collaborate with the boards of medicine and osteopathic medicine
• I think the Board of Pharmacy worked very swiftly to make sure that the pathway and the structure was
• We would probably need to engage our pharmacy stakeholders and our partners.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.